Individual
MRS. COLETTE SUZANNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.N.S. CCC-SLP
Contact information
Practice address
550 S IRONWOOD DR, APACHE JUNCTION, AZ 85220-5002
(480) 982-1110
(480) 474-8370
Mailing address
7831 E CULVER ST, MESA, AZ 85207-1205
(480) 982-1110
(480) 474-8370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4189
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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